Teeth Whitening
Tooth whitening as a cosmetic dental care procedure can be a very effective way of lightening the natural colour of your teeth without removing any of the tooth’s surface. While it cannot make a complete colour change, it may lighten the existing shade.
It is important to talk to your dentist before deciding to whiten your teeth, as whiteners may not correct all types of discoloration. For example, yellow teeth will probably bleach well, brown teeth may not respond as well and teeth with grey tones may not bleach at all. Whitening will not work on caps, veneers, crowns or fillings. It also won’t be effective if your tooth discoloration is caused by medications or a tooth injury.
Why Did My Teeth Change Color?
Over time, your teeth can go from white to not-so-bright for a number of reasons:
Food and Drink
Coffee, tea and red wine are some major staining culprits. Intense colour pigments called chromogens that attach to the white, outer part of your tooth (enamel).
Tobacco Use
Two chemicals found in tobacco create stubborn stains: Tar and nicotine. Tar is naturally dark. Nicotine is colourless until it’s mixed with oxygen. Then, it turns into a yellowish, surface-staining substance.
Age
Below the hard, white outer shell of your teeth (enamel) is a softer area called dentin. Over time, the outer enamel layer gets thinner with brushing and more of the yellowish dentin shows through.
Trauma
If you’ve been hit in the mouth, your tooth may change colour because it reacts to an injury by laying down more dentin, which is a darker layer under the enamel.
Medications
Tooth darkening can be a side effect of certain antihistamines, antipsychotics and high blood pressure medications. Young children who are exposed to antibiotics like tetracycline and doxycycline when their teeth are forming (either in the womb or as a baby) may have discoloration of their adult teeth later in life. Chemotherapy and head and neck radiation can also darken teeth.
What Are My Whitening Options?
Talk to your dentist before starting. If you are a candidate, there are four ways to put the shine back in your smile:
Stain Removal Toothpastes
All toothpastes help remove surface stain through the action of mild abrasives that scrub the teeth. These toothpastes have additional polishing agents that are safe for your teeth and provide stain removal effectiveness. Unlike bleaches, these types of products do not change the colour of teeth because they can only remove stains on the surface.
vIn-Office Bleaching
This procedure is called chairside bleaching and usually requires only one office visit. The dentist will apply either a protective gel to your gums or a rubber shield to protect your gums. Bleach is then applied to the teeth.
At-Home Bleaching from Your Dentist
Your dentist can provide you with a custom-made tray for at-home whitening. In this case, the dentist will give you instructions on how to place the bleaching solution in the tray and for what length of time. This may be a preferred option if you feel more comfortable whitening in your own home at a slower pace, but still with the guidance of a dentist. Out-of-office bleaching can take anywhere from a few days to a few weeks.
Over-the-Counter Bleaching Products
You may see different options online or in your local grocery store, such as toothpastes or strips that whiten by bleaching your teeth. The concentration of the bleaching agent in these products is lower than what your dentist would use in the office. If you are thinking about using an over-the-counter bleaching kit, discuss options with your dentist whether it has been tested to be safe and effective for teeth whitening.
Are There Any Side Effects from Teeth Whitening?
Some people who use teeth whiteners may experience tooth sensitivity. That happens when the peroxide in the whitener gets through the enamel to the soft layer of dentin and irritates the nerve of your tooth. In most cases the sensitivity is temporary. You can delay treatment, then try again. Overuse of whiteners can also damage the tooth enamel or gums, so be sure to follow directions and talk to your dentist.
